Credentialing Specialist

🔥 2 hours ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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One GI®

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2020

🏥 Healthcare

🤝 B2B

💼 Consulting

Healthcare • B2B • Consulting

One GI® is a physician-centric management services organization (MSO) and network that supports independent gastroenterology practices. It partners with locally branded GI practices to provide operational, administrative, and clinical support aimed at improving patient experience, outcomes, and community-focused care. Headquartered in Brentwood, Tennessee, One GI emphasizes physician-led governance, practice optimization, and rapid growth across a network of independent gastroenterology providers.

📋 Description

• Review and screen initial and reappointment credentialing applications for completeness, accuracy, and compliance. • Conduct primary source verification, validate documents, and ensure accuracy of credentialing elements. • Identify, analyze, and resolve discrepancies that could impact credentialing and enrollment. • Maintain knowledge of current health plan and agency requirements for credentialing providers. • Track license and certification expirations for timely renewals.

🎯 Requirements

• High School Diploma or equivalent required. • Minimum of two (2) years focused provider credentialing or provider enrollment experience. • Working knowledge of Provider Enrollment portals including CAQH, NPDB, Identity & Access Management, NPPES, PECOS, and Availity. • Experience in performing primary data source verifications. • Specific knowledge of provider credentialing and payer enrollment process. • Facility Credentialing/ Medical Staff Services experience, preferred.

🏖️ Benefits

• Excellent paid time off for a healthy work/life balance. • Generous 401(k) plan with employer match for retirement savings. • Education reimbursement opportunities. • Internal growth opportunities for training and development. • Competitive health and supplemental benefits with FSA and HSA options. • Referral bonus for bringing in great talent.